NPI | 1154607398 |
---|---|
Doing Business As | DEACONESS CLINIC I |
Entity Type | Organization |
Authorized Contact | CHERYL A WATHEN CFO 812-450-3296 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
207RG0100X Internal Medicine, Gastroenterology | |
207RN0300X Internal Medicine, Nephrology | |
2080P0206X Pediatrics, Pediatric Gastroenterology | |
363L00000X Nurse Practitioner | |
363LA2100X Nurse Practitioner, Acute Care | |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2011-11-02 |
Last Update Date | 2017-08-10 |